Individual
GABRIELLE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1738 W 17TH ST # 2, CHICAGO, IL 60608-1910
(347) 820-4546
Mailing address
1738 W 17TH ST # 2, CHICAGO, IL 60608-1910
(347) 820-4546
(347) 820-4546
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
041535939
IL
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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